institution
Avera Queen Of Peace
Rural Health Clinic/Center in Corsica, South Dakota
NPI 1932105046

Avera Queen Of Peace is a Rural Health Clinic/Center based in Mitchell, SD and is specialized in Rural Health. Avera Queen Of Peace practices in Corsica, SD. The NPI Number for Avera Queen Of Peace is 1932105046 and holds a License No. N/A (South Dakota).

The current practice location address for Avera Queen Of Peace is 265 Main Street, Corsica, SD and can be reached out via phone at 605-946-5411 and via fax at 605-946-5206.

Location: 265 Main Street, Corsica, SD, 57301-2966
institution
Provider Profile Details
NPI Number
1932105046
Provider Name
Avera Queen Of Peace
Credential
Provider Entity Type
Organization
Address
265 Main Street, Corsica, SD, 57301-2966
Phone Number
605-946-5411
Fax Number
605-946-5206
Provider Enumeration Date
06/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CR0890 01 SD MEDICARE RR
5306742 05 SD
5306743 05 SD
0000018 01 SD WELLMARK
A-87545 01 SD MULTIPLAN
00-00435 01 SD MEDICA
institution
Provider Business Practice Location Address Details
Address
265 Main Street
City
State
Zip
57328
Phone Number
605-946-5411
Fax Number
605-946-5206
person
Provider Business Mailing Address Details
Address
265 Main Street
City
State
Zip
57328
Phone Number
605-946-5411
Fax Number
605-946-5206
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
N/A (South Dakota)
Definition
Definition to come...
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